The Foot and Ankle Clinic

Achilles Tendonitis - post-operative course

What is achilles tendonitis? | What does achilles tendonitis look like? | Insertional problems of the achilles | Symptoms of achilles tendonitis | Causes of achilles tendonitis | Treatments for achilles tendonitis | Physiotherapy for achilles tendonitis | Orthotic for achilles tendonitis | How soon should non-operative treatment of achilles tendonitis improve symptoms? | Injecting achilles tendonitis | What if achilles tendonitis fails to settle despite injection? | The surgical treatment of achilles tendonosis | What is the rationale behind the operations? | Achilles paratenon stripping and tendon incision - operative stills | Post operative course following achilles tendonitis surgical treatment | Complications following debridement of achilles tendonitis/tendonosis | Operative gallery for flexor hallucis longus tendon transfer | Post-operative course after flexor hallucis longus tendon transfer | Complications following a flexor hallucis longus transfer | What is a Hagglunds deformity? | What Is insertional tendonosis of the achilles? | Treatment for Hagglunds deformity/or insertional achilles tendonosis | Non-operative treatment of Hagglunds deformity, achilles tendonosis | Operative management of Hagglunds deformity and insertional achilles tendonosis


Post Operative Course Following Achilles Tendonitis Surgical Treatment

The First 24 Hours

Two Weeks Following Tendon Debridement

At two weeks your cast will be removed and your wounds checked to ensure that they are healing well. A complete lightweight cast will be placed below the level of your knee. You will be instructed to commence light partial weight bearing at three weeks following the date of your surgery. You will be advised to progressively increase the weight which is being placed through the cast until you reach six weeks post-operatively when you should just be achieving full weight bearing.

At Six Weeks Post-Operatively

At six weeks following your Achilles tendon debridement your cast will be removed and you will be instructed on increasing your weight bearing out of cast. Generally this will mean either using a lightweight walking boot or an Achilles Aircast walking boot. Generally you may need to use crutches for a few days having come out of your cast and gone into the removable device.

You will be advised to avoid heavy impact type activities and sports for three months post-operatively. You may return to swimming and cycling type activities as soon as you are comfortable. The chance of success following surgery is in the region of 80-90%.


Complications Following Debridement of Achilles Tendonitis/Tendonosis



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